Individual
DR. ALFRED CARL GORMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 CANAL ST, SUITE 101, POOLER, GA 31322-4153
(912) 748-3368
(912) 748-6298
Mailing address
114 CANAL ST, SUITE 101, POOLER, GA 31322-4153
(912) 748-3368
(912) 748-6298
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973365C
—
GA
Enumeration date
05/05/2006
Last updated
12/10/2014
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